Individual provider Active NPI

Victor H Davalos Amaro, APRN

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1821810748
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035877 Issued in FL
Practice address
3255 Forest Hill Blvd Ste 103
West Palm Beach, FL 33406-5854
Phone
(561) 964-4577
Fax
(561) 964-4572
NPI assigned
Oct 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11035877 FL Primary

Addresses

Primary practice location

3255 Forest Hill Blvd Ste 103
West Palm Beach, FL 33406-5854

Mailing address

3255 Forest Hill Blvd Ste 103
West Palm Beach, FL 33406-5854
Phone (561) 964-4577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203000048 FL Practitioner - Nurse Practitioner 9133658370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soma Medical Center, PAGroup PAC ID 2062420227, 9 clinicians

Practice addresses (Care Compare)

3255 Forest Hill Blvd
Suite 103
Palm Springs, FL 33406-5854
Phone (561) 964-4577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11035877FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Medical Center, PA Current Accepting new patients
Soma Medical Center, PA CurrentSince Jan 23, 2025 Accepting new patients

Locations

3255 Forest Hill Blvd
#103
West Palm Beach, FL 33406
Phone (561) 964-4577

3255 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 433-5050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1821810748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 FOREST HILL BLVD STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065854",
            "telephone_number": "561-964-4577",
            "fax_number": "561-964-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 FOREST HILL BLVD STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065854",
            "telephone_number": "561-964-4577",
            "fax_number": "561-964-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVALOS AMARO",
        "first_name": "VICTOR",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-30",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.